| NPI | 1306596820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALENA KAOPUUOKALANI LANUZA President 805-766-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-03-27 |